Organization
TERCEL DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE L. MATZDORFF (OFFICE MANAGER)
(860) 445-8569
Entity
Organization
Contact information
Practice address
643 GOLD STAR HWY., GROTON, CT 06340
(860) 445-8569
(860) 446-8434
Mailing address
643 GOLD STAR HWY., GROTON, CT 06340
(860) 445-8569
(860) 446-8434
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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